CLIA lab

CLIA 14D2123032: Legacy Medical Care Inc

Hanover Park, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D2123032 belongs to Legacy Medical Care Inc in Hanover Park, IL.

Certificate of Waiver, effective December 12, 2024, expires December 11, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 12, 2024
Certificate expiration
December 11, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 12, 2016
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
14D2123032
Lab name
Legacy Medical Care Inc
Address
6620 N Barrington Rd, Hanover Park, IL 60133
Phone
(847) 749-2248
Fax
(847) 214-4912

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Hanover Park, IL

Related

Questions

What is the CLIA number for Legacy Medical Care Inc in Hanover Park?

14D2123032, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Legacy Medical Care Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2123032 expire?

The CMS file lists December 11, 2026 as the certificate expiration date; the certificate took effect December 12, 2024.

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